Please list the semester/year and the grade for all previous attempts:

Semester/Year

Grade

Semester/Year

Grade

Semester/Year

Grade

Think about why you have not been successful in this course in previous attempts. You can use the following checklist to help you. Please check all that apply.

I miss days of class or I arrive late to class.I do not really prepare for class prior to attending.I forget to read through or check my syllabus.I signed up for too many courses.I cram for tests.I have not regularly used the Academic Support Center (Tutoring) for help with my academics.If I do not know what to do, I have a difficult time asking for help.I am not sure of how to use Angel or I do not check Angel daily.I have a hard time keeping track of assignments, due dates, etc.I do not consider myself to be an organized person.Note taking is hard for me.I have stressors that have impacted my academics. Ex: finances, relationships, etc.I am not sure what campus resources are available to me. Here are the campus resources that I am aware of:

How many hours per week do you typically study?

What do you feel had the most impact on your previous performance in this class?

What do you think you can do differently? What do you feel you want help with? What do you need to put in place for yourself in order to be successful in this course?

Complete this sentence: “If permitted to repeat this course, I will:

Please Click Submit Only Once

Failure to complete ALL FIELDS may cause a delay in processing this form.

Canvas is Replacing ANGEL

MyUniversity

MyTuition Guarantee

LCCC students now have the opportunity to participate in the MyTuition Guarantee. This new program holds tuition and fee rates for students registering in fall 2014, spring 2015, or fall 2015 for up to three years or until the completion of a degree, whichever comes first.